ClinicalTrials.gg
Not yet recruitingNCT07932873Updated Nov 12, 2026

Sonrotoclax in Combination With Azacitidine for Previously Untreated Higher-risk Myelodysplastic Syndromes

A Phase 2/3 interventional study of Each treatment cycle is 28-days. Azacitidine 75 mg/m² is administered subcutaneously or intravenously on Days 1-7 of each cycle. Sonrotoclax is orally administered once daily on Days 1-14 within each in MDS (Myelodysplastic Syndrome), sponsored by The Affiliated People's Hospital of Ningbo University. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by The Affiliated People's Hospital of Ningbo University · Phase 2/3, Interventional, and Prevention

Updated Nov 12, 2026Newly registeredGo to Updates ↓

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Phase
Phase 2/3
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

To evaluate the efficacy and safety profile of sotoclax combined with azacitidine in newly diagnosed higher-risk MDS patients, including ORR, CR rate, PFS, OS and treatment-related adverse events

02

Conditions studied

  • MDS (Myelodysplastic Syndrome)
03

In context

Lead sponsor

The Affiliated People's Hospital of Ningbo University is the lead sponsor of 11 studies on the registry; 11 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Aged ≥ 18 years.
  2. Diagnosed with myelodysplastic syndromes (MDS) based on bone marrow morphology, immunophenotyping, cytogenetics, and molecular testing, consistent with the WHO 2016 or 2022 classification criteria.
  3. High-risk MDS defined by any of the following risk stratification systems:

    • nbsp;\ a) IPSS-R score > 3.5; or
    • nbsp;\ b) IPSS score > 1; or
    • nbsp;\ c) IPSS-M score > 0.
  4. No prior anti-tumor treatment for MDS, including hypomethylating agents or chemotherapy.
  5. (ECOG) performance status of 0-2.
  6. Expected survival time ≥ 12 weeks.
  7. Adequate major organ function as defined below:

    • nbsp;\ a) ≥ 50 mL/min;
    • nbsp;\ b) (AST) and alanine aminotransferase (ALT) ≤ 2.5 × (ULN); Total ≤ 1.5 × ULN; (LVEF) ≥ 45%.
  8. Written must be obtained from the patient, legal representative, or guardian prior to any study-related procedures. The study protocol has been approved by the institutional ethics committee.

Exclusion criteria

Exclusion Criteria:

  1. Diagnosis of acute promyelocytic leukemia (APL).
  2. Prior treatment with any BCL-2 inhibitor.
  3. History of other malignant tumors within the past 3 years (excluding cured ).
  4. Presence of active and uncontrolled infectious diseases.
  5. Central nervous system (CNS) involvement.
  6. Severe and uncontrolled cardiac disease.
  7. Dry tap on bone marrow aspiration or grade 2-3 myelofibrosis.
  8. Pregnancy or breastfeeding status.
  9. Any other condition deemed inappropriate for study enrollment by the investigator.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Other
    Sonrotoclax plus Azacitidine in Newly-Diagnosed Higher-Risk Myelodysplastic Syndromes (MDS)

    Patients with newly-diagnosed higher-risk MDS receive 28-day cycles of sonrotoclax (BGB-11417) plus azacitidine. Azacitidine 75 mg/m² is given subcutaneously or intravenously on Days 1-7. Sonrotoclax (RP2D 160 mg daily, Days 1-14 per cycle) undergoes 4-day dose ramp-up (20-40-80-160 mg) in Cycle 1, followed by full target dose in later cycles.

    Drug: Each treatment cycle is 28-days. Azacitidine 75 mg/m² is administered subcutaneously or intravenously on Days 1-7 of each cycle. Sonrotoclax is orally administered once daily on Days 1-14 within each

Interventions

  • DrugEach treatment cycle is 28-days. Azacitidine 75 mg/m² is administered subcutaneously or intravenously on Days 1-7 of each cycle. Sonrotoclax is orally administered once daily on Days 1-14 within each

    Patients with newly-diagnosed higher-risk MDS receive 28-day cycles of sonrotoclax (BGB-11417) plus azacitidine. Azacitidine 75 mg/m² is given subcutaneously or intravenously on Days 1-7. Sonrotoclax (RP2D 160 mg daily, Days 1-14 per cycle) undergoes 4-day dose ramp-up (20-40-80-160 mg) in Cycle 1, followed by full target dose in later cycles.

06

What researchers measure

Primary outcomes

  1. Overall Response Rate (ORR)

    Description: The proportion of participants achieving objective response (CR or PR) per response criteria. Unit of Measure: Proportion

    Time frame: Up to 24 months

Secondary outcomes

  1. Complete Remission (CR) rate

    Description: The proportion of participants achieving complete remission per response criteria. Unit of Measure: Proportion

    Time frame: Up to 24 months

  2. Duration of Response (DOR)

    Description: Time from the first documented objective response to disease progression or death from any cause. Unit of Measure: Time (months)

    Time frame: Up to 36 months

  3. Progression-Free Survival (PFS)

    Outcome Measure: Progression-Free Survival (PFS) Description: Time from randomization to disease progression or death from any cause. Unit of Measure: Time (months)

    Time frame: Up to 36 months

  4. Overall Survival (OS)

    Outcome Measure: Overall Survival (OS) Description: Time from randomization to death from any cause. Unit of Measure: Time (months)

    Time frame: Up to 36 months

  5. Hematological/non-hematological adverse events

    Description: Incidence of hematological and non-hematological adverse events, graded per CTCAE. Unit of Measure: Incidence (proportion)

    Time frame: From first study treatment dose to 30 days after last dose

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Sep 2028; primary completion for Sep 2028, 0 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 26, 2026
First posted
Nov 12, 2026
StartEst.
Sep 1, 2028
Primary completionEst.
Sep 1, 2028
CompletionEst.
Dec 1, 2028
Last update
Nov 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07932873
Lead sponsor
The Affiliated People's Hospital of Ningbo University
Responsible party
Sponsor
First posted
Nov 12, 2026
Start date
Sep 1, 2028 (estimated)
Primary completion
Sep 1, 2028 (estimated)
Completion
Dec 1, 2028 (estimated)
Last update
Nov 12, 2026

Study contacts

Zhurhohan Yu
Contact
1148629702@qq.com
+8617280290731

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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